Ua loaʻa anei iā ʻoe a i ʻole kekahi o kou ʻohana ka pōkole koke o ka hanu, ka paʻa ʻana o ka umauma, a me ke kani ʻana o ka wheezing "whoosh.. whoosh.."? He ʻike maʻamau a ʻoluʻolu ʻole kēia no kekahi me ke ʻano e like me ka hānō. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau i hoʻohana ʻia i nā manawa e like me kēia a hāʻawi i ka hōʻoluʻolu wikiwiki. ʻO ia ka lāʻau epinephrine, i hāʻawi ʻia ma o kahi nebulizer.
He aha kēia lāʻau lapaʻau i kapa ʻia ʻo Epinephrine?
I ka ʻōlelo maʻalahi, ʻo ka epinephrine kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e pilikia ai ka hanu ʻana i loko o nā māmā. ʻOi loa aku i nā maʻi e like me ka hānō, ʻo ka haiki ʻana o nā ala ea (bronchi) e lawe ana i ka ea i ko mākou mau māmā e hana ʻia. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo `(Bronchospasm)`.
E noʻonoʻo i ka wā e paʻa ai kahi paipu wai i waenakonu, lilo ia i mea paʻakikī no ka wai e kahe. Ke ālai ʻia kēia mau ala ea, lilo ia i mea paʻakikī loa iā mākou ke hanu. ʻO ka hana a ka epinephrine, ʻo ia ka hoʻonui a wehe i kēia mau ala ea i haiki a ʻōniʻoniʻo ʻia. Ua like ia me ka hoʻokuʻu ʻana i kahi paipu i ālai ʻia. A laila hiki i ka ea ke komo maʻalahi a puka i waho o nā māmā, a e maʻalahi hou ka hanu ʻana.
Loaʻa paha kēia lāʻau lapaʻau i kekahi manawa ma ka mākeke ma lalo o nā inoa ʻē aʻe. ʻO kahi laʻana ʻo `(Adrenalin)`. Akā ua like ka mea hana.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka lawe ʻana i kēia lāʻau lapaʻau
Ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau, he mea nui e haʻi i kāu kauka i kāu mōʻaukala olakino piha. No ka mea hiki i kekahi lāʻau lapaʻau ke hoʻopilikia i kekahi. Ma mua o ka lawe ʻana i ka epinephrine, e hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana.
| Kou kūlana olakino | No ke aha ʻoe e hōʻike ai? |
|---|---|
| Maʻi diabetes | Hiki i ka epinephrine ke hoʻonui i ke kiʻekiʻe o ke kō koko. |
| ʻO ka glaucoma | Aia kahi hiki ke hoʻonui i ke kaomi o nā maka. |
| Maʻi puʻuwai | Hiki iā ia ke hoʻonui i ka nui o ka puʻuwai a me ke koko, hiki ke kau i ke kaumaha hou ma ka puʻuwai. |
| Ke koko kiʻekiʻe | Hiki i kēia lāʻau lapaʻau ke hoʻonui hou i ke koko. |
| ka maʻi o Parkinson | Hiki ke hoʻonui ʻia nā hōʻailona, ʻoiai hoʻi nā haʻalulu. |
| Maʻi thyroid | Hiki ke ʻoi aku ka ʻino o nā hōʻailona inā hana nui ka ʻōpū thyroid. |
| Nā maʻi ʻaleka ʻē aʻe | Inā he mau maʻi ʻaleka kou i ka epinephrine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā mea mālama. |
| Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē | He mea nui e kūkākūkā me ke kauka e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau i ka wā hāpai. |
| Inā he makuahine hānai ʻoe | Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hiki ke hele ka lāʻau lapaʻau i kāu pēpē ma o ka waiū umauma. |
Pehea pololei ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Hoʻohana ʻia kēia lāʻau lapaʻau me kahi mea i kapa ʻia he nebulizer . Hoʻololi kēia i ka lāʻau lapaʻau, aia ma ke ʻano wai, i loko o kahi noe liʻiliʻi (aerosol) hiki iā ʻoe ke hanu. A laila hanu ʻoe i kēia noe i loko o kou mau māmā, ma o kou waha a i ʻole ma o kahi pale maka e uhi ana i kou waha a me kou ihu.
ʻO ka mea nui loa: E hahai mau i nā kuhikuhi a kāu kauka a i ʻole ka lepili lāʻau lapaʻau . Mai lawe pinepine a i ʻole ma nā nui kiʻekiʻe ma mua o ke kauoha.
Hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ʻōpio, ʻoi aku hoʻi i ka poʻe ma luna o 4 mau makahiki, i kekahi mau hihia kūikawā. Akā, hana ʻia me ke akahele loa ma lalo o ka nānā ʻana a ke kauka.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe ʻoe ma mua o ka nui i kuhikuhi ʻia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa. A i ʻole e kelepona i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
E hoʻomanaʻo, ua kuhikuhi ʻia kēia lāʻau lapaʻau nou wale nō. Mai kaʻana like me kekahi.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke launa pū ke lawe pū ʻia. ʻO ke ʻano kēia, hiki ke hoʻonui ʻia, hoʻemi ʻia, a i ʻole ke kumu o nā hopena ʻaoʻao makemake ʻole ʻia ka pono o hoʻokahi lāʻau lapaʻau. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā mea kanu, a me nā huaora).
ʻAʻole pono e lawe i ka epinephrine me nā lāʻau lapaʻau e hiki mai ana:
- Kekahi ʻano kinoea i hoʻohana ʻia e hoʻoulu ai i ka hiamoe i ka wā o ke ʻoki kino (`(General anesthetics)`)
Hiki i nā lāʻau lapaʻau ke launa pū me ka epinephrine:
- Kekahi mau lāʻau lapaʻau no nā maʻi ʻaleka, nā ʻū, a me ke anu (`(Antihistamine)`)
- Nā lāʻau lapaʻau no ke koko, ka maʻi puʻuwai, a me nā maʻi puʻuwai
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha a i ʻole ka hopohopo
- ʻO kekahi mau lāʻau lapaʻau no ka maʻi o Parkinson
- ʻO Digoxin
- Nā lāʻau diuretic (nā lāʻau e wehe ai i ka wai mai ke kino)
- ʻO ka Thyroxine `(Levothyroxine)`
- Nā lāʻau lapaʻau antidepressant ʻano MAOI
- Nā lāʻau lapaʻau ʻano steroid (e like me prednisone)
- ʻO kekahi mau lāʻau hoʻoulu
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. Eia kekahi, e haʻi iā ia inā ʻoe e puhipaka a inu waiʻona paha.
Nā mea e makaʻala ai i ka wā e hoʻohana ai i ka lāʻau lapaʻau
E ʻike pinepine i kāu kauka e nānā i kāu mau hōʻailona. Inā e ʻoi aku ka ʻino o kāu mau hōʻailona, a i ʻole pono ʻoe e hoʻohana pinepine i kēia lāʻau lapaʻau ma mua o ka maʻamau, e kāhea koke i kāu kauka . ʻO ke ʻano paha kēia ʻaʻole i kaohi ʻia kou hānō a pono paha e hoʻololi ʻia kāu lāʻau lapaʻau.
E hana pū me kāu kauka e hana i kahi "Hoʻolālā Hana Asthma" i kūpono iā ʻoe. E maopopo i ka mea e hana ai ke akahai kou mau hōʻailona (Yellow Zone) a me ka mea e hana ai i kahi pilikia (Red Zone).
He aha nā hopena ʻaoʻao i manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka epinephrine ke hana i nā hopena ʻaoʻao. He koʻikoʻi kekahi o lākou, he mea maʻamau kekahi.
| Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ke kauka | |
|---|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Nā hōʻailona o ka hōʻeha puʻuwai | ʻEha a ʻūmiʻi paha ma ka umauma, nā poʻohiwi, nā lima, a i ʻole ka ʻauwae, ka luaʻi, ka paʻakikī o ka hanu ʻana, ka hou anu, ka maule ʻana. |
| Nā loli i ka helu o ka puʻuwai | Ka puʻuwai wikiwiki a ʻano ʻē paha, ka poniuniu, ka maule ʻana, ka ʻeha o ka umauma. |
| Hoʻonui ʻia ke koko | ʻEha poʻo nui, loli ka ʻike. |
| ʻAʻole maʻamau ka koʻikoʻi (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Hopohopo, hoʻomaha ʻole | ʻEha poʻo |
| Pōʻino | Manaʻo o ka puʻuwai wikiwiki |
| Ka luaʻi a i ʻole ka luaʻi | Haʻalulu |
| Ka hou ʻana | ʻIli keʻokeʻo |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e nīnau i kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- ʻO ka epinephrine nebulizer kahi lāʻau lapaʻau e wehe ai i nā alaea i ālai ʻia a hoʻomaʻalahi i ka hanu ʻana i nā kūlana e like me ka hānō.
- E hahai pono i ka nui a me nā kuhikuhi i kuhikuhi ʻia e kāu kauka. Mai hoʻohana ʻoi aku ma mua o ka nui i kuhikuhi ʻia.
- He mea nui e hoʻomaopopo i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei (e like me ka maʻi diabetes, ka maʻi puʻuwai) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī nui o ka hanu ʻana, a i ʻole ka hopena maʻi koʻikoʻi, e hele koke i kahi lumi pilikia (ETU).
- Inā e ʻoi aku ka ʻino o kou mau hōʻailona a i ʻole pono ʻoe e hoʻohana pinepine i ka lāʻau lapaʻau, ʻo ia hoʻi, ʻaʻole i kaohi pono ʻia kou kūlana. E ʻike koke i kāu kauka.
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